| Carrillo Urbina & Garcia Inc | |
|
16980 Foothill Blvd Ste E Fontana CA 92335-3569 | |
| (909) 434-0616 | |
| Not Available |
| Full Name | Carrillo Urbina & Garcia Inc |
|---|---|
| Speciality | General Practice |
| Location | 16980 Foothill Blvd Ste E, Fontana, California |
| Authorized Official Name and Position | Miguel Garcia (ADMINISTRATOR/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9094340808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrillo Urbina & Garcia Inc 16980 Foothill Blvd Ste E Fontana CA 92335-3569 Ph: (909) 434-0616 | Carrillo Urbina & Garcia Inc 16980 Foothill Blvd Ste E Fontana CA 92335-3569 Ph: (909) 434-0616 |
| NPI Number | 1255527461 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 05/17/2024 |
| Medicare PECOS PAC ID | 6305936212 |
|---|---|
| Medicare Enrollment ID | O20071215000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255527461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A71133 (California) | Primary |
| Provider Name | Marvin E Urbina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225129281 PECOS PAC ID: 1557266947 Enrollment ID: I20031126000739 |
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